2010s

Copyright © Erik Hollnagel 2020

All Rights Reserved.


The chief motive of all human actions is the desire to avoid anxiety.

Ibn Hazm (994-1064)

2010 - 2019

Journal papers 

Lundberg, J., Rollenhagen, K. & Hollnagel, E. (2010). What you find is not always what you fix - How other aspects than causes of accidents decide recommendations for remedial actions. Accident Analysis & Prevention, 42(6), 2132-2139.

Rollenhagen, C., Westerlund, J., Lundberg, J. & Hollnagel, E. (2010). The context and habits of accident investigation practices: A study of 108 Swedish investigators. Safety Science, 48(7), 859-867.

Shaukat, A., Windridge, D., Hollnagel, E., Macchi, L. & Kittler, J. (2010). Adaptive, Perception-Action-based Cognitive Modelling of Human Driving Behaviour using Control, Gaze and Signal inputs. Environment, 10, 11.

Lundberg, J. Rollenhagen, C., Hollnagel, E. & Rankin, A. (2012). Strategies for dealing with resistance to recommendations from accident investigations. Accident Analysis and Prevention, 45, 455-467.

Besnard, D. & Hollnagel, E. (2012). I want to believe: some myths about the management of industrial safety. Cognition, Technology & Work, 16(1), 13-23.

Hollnagel, E. (2012). Coping with complexity: Past, present and future. Cognition, Technology & Work, 14(3), 199-205.

Hollnagel, E. & Poulstrup, A. (2012). Sikkerhedstænkning og -styring er patientsikkerhed i et nyt perspektiv. Ugeskrift for Læger, 174(45), 2785-2787.

Hollnagel, E. & Lund, M. (2012). Vidensdeling i komplekse organisationer. Tidsskrift for Dansk Sundhedsvæsen, 88(6), 47-53.

Hollnagel, E. & Lund, M. (2012). Forhindringer for vidensdeling. Tidsskrift for Dansk Sundhedsvæsen, 88(7), 33-43.

Schröder-Hinrichs, J.-U., Hollnagel, E. & Baldauf , M. (2012). From Titanic to Costa Concordia—a century of lessons not learned . Journal of Maritime Affairs, 11, 151–167

Hollnagel, E. & Lund, M. (2013). Vidensdeling i komplekse organisationer – Analyse af to eksempler. Tidsskrift for Dansk Sundhedsvæsen, 89(1), 28-37.

Windridge, D., Shaukat, A. & Hollnagel, E. (2013). Characterizing driver intention via hierarchical perception-action modelling. IEEE Transactions on Human-Machine Systems, 43(1), 17-31.

Schröder-Hinrichs, J.-U., Hollnagel, E., Baldauf, M., Hofmann, S. & Kataria, A. (2013). Maritime human factors and IMO policy. Maritime Policy & Management, 40(3), 243-260.

Hollnagel, E. (2013). A tale of two safeties. Nuclear Safety and Simulation, 4(1), 1-9.

Hollnagel, E. (2013). Is safety a subject for science? Safety Science, 67, 21-24.

Hollnagel, E. (2013). Human factors/ergonomics as a systems discipline? “The human use of human beings” revisited. Applied Ergonomics, 45, 40-44.

Hollnagel, E. & Fujita, Y. (2013). The Fukushima disaster – systemic failures as a lack of resilience. Nuclear Engineering and Technology, 45(1), 1-8.

Hollnagel, E. (2013). Resilience engineering and the built environment. Building Research and Information, 42(2), 221-228.

Hollnagel, E. (2013). Is justice really important for safety? Hindsight, 18, 10-13.

Rankin, A., Lundberg, J., Woltjer, R., Rollenhagen, C. & Hollnagel, E. (2014). Resilience in Everyday Operations: A Framework for Analyzing Adaptations in High-Risk Work. Journal of Cognitive Engineering and Decision Making, 8(1), 78-97.

Hollnagel, E. (2014). From Safety-I to Safety-II: A brief introduction to resilience engineering, Communications of the Operations Research Society of Japan, 59(8), 435-439. (in Japanese). [Erik Hollnagel, Safety-IからSafety-IIへ ―レジリエンス工学入門― , オペレーションズ・リサーチ, Vol. 59, No. 8, pp. 435-439, 2014.]

Fairbanks, R. J., Wears, R. L., Woods, D. D., Hollnagel, E., Plsek, P., Cook, R. I. (2014). Resilience and Resilience Engineering in Health Care. Joint Commission Journal on Quality and Patient Safety, 40(8), 376-383(8).

Praetorius, G. & Hollnagel, E. (2014). Control and Resilience Within the Maritime Traffic Management Domain. Journal of Cognitive Engineering and Decision Making, 8(4), 303-317.

Braithwaite, J., Wears, R. L. & Hollnagel, E. (2015). Creating safer healthcare. HealthManagement, 15(2), 81.

Falstie-Jensen, A.-M., Larsson, H., Hollnagel, E., Nørgaard, M., Svendsen, M. L. O. & Johnsen, S. P. (2015). Compliance with hospital accreditation and patient mortality: a Danish nationwide population-based study. International Journal for Quality in Health Care, 1–10. (doi: 10.1093/intqhc/mzv023)

Bogh, S. B., Falstie-Jensen, A. M., Bartels, P., Hollnagel, E. & Johnsen, S. P. (2015). Accreditation and improvement in process quality of care: A nationwide study. International Journal for Quality in Health Care, 1-8. (DOI: 10.1093/intqhc/mzv053.)

Clay-Williams, R., Hounsgaard, J. and Hollnagel, E. (2015). Where the rubber meets the road: using FRAM to align work-as-imagined with work-as-done when implementing clinical guidelines. Implementation Science, 10:125, 1-8.

Braithwaite, J. Wears, R. L. and Hollnagel, E. (2015). Resilient health care: turning patient safety on its head. International Journal for Quality in Health Care, 1–3. doi: 10.1093/intqhc/mzv063

Praetorius, G., Hollnagel, E. & Dahlman, J. (2015). Modelling Vessel Traffic Service to understand resilience in everyday operations. Reliability Engineering & System Safety, 141, 10-21.

Hollnagel, E. (2015). Functional Safety Nets from a resilience engineering perspective. Hindsight, 22, 32-34.

Hollnagel, E. (2016). Om den nødvendige variation. Magasinet kvalitet, 01/16, 3-5.

Bogh, S. B., Falstie-Jensen, A. M.; Hollnagel, E.; Holst, R.; Braithwaite, J.; Johnsen, S. P. (2016). Improvement in quality of hospital care during accreditation: A nationwide stepped-wedge study. International Journal for Quality in Health Care, 1–6, doi: 10.1093/intqhc/mzw099

Pickup, L., Atkinson, S., Hollnagel, E., Bowie, P., Gray, S., Rawlinson, S. & Forrester, K. (2017). Blood sampling - Two sides to the story. Applied Ergonomics, 59, 234-242.

Thude, B. R., Thomsen, S. E., Stenager, E. & Hollnagel, E. (2017). Dual leadership in a hospital practice. International Journal of Health Care Quality Assurance, 30(1), 101-112.

Falstie-Jensen, A. M., Boh, S. B., Hollnagel, E. & Johnsen, S. P. (2017). Compliance with accreditation and recommended hospital care—a Danish nationwide population-based study. International Journal for Quality in Health Care, 1–9. (doi: 10.1093/intqhc/mzx104)

Hollnagel, E. (2017). Can we ever imagine how work is done? Hindsight, 25, 10-13.

Raben, D. C., Bogh, S. B.,Viskum, B., Mikkelsen, K. L. & Hollnagel, E. (2017). Proposing leading indicators for blood sampling: application of a method based on the principles of resilient healthcare. Cognition, Technology & Work, 19(4), 809-817. DOI 10.1007/s10111-017-0437-z

Raben, D. C., Bogh, S. B., Viskum, B., Mikkelsen, K. L. & Hollnagel, E. (2017). Learn from what goes right: a demonstration of a new systematic method for identification of leading indicators in healthcare. Reliability Engineering & System Safety, 169, 187-198. DOI 10.1016/j.ress.2017.08.019

Thude, B. R., Stenager, E., von Plessen, C. & Hollnagel, E. (2018). Leadership set-up: wishful thinking or reality? Leadership in Health Services, 32(1), 98-112. DOI: 10.1108/LHS-08-2017-0052.

Bridges, K. E., Corballis, P. M. & Hollnagel, E. (2018). “Failure-to-Identify” Hunting Incidents: A Resilience Engineering Approach. Human Factors, 60(2), 141-159. DOI: 10.1177/0018720817743851.

Raben, D. C., Viskum, B., Mikkelsen, K. L., Hounsgaard, J., Bogh, S. B. & Hollnagel, E., (2018). Application of a non-linear model to understand healthcare processes: Using the functional resonance analysis method on a case study of the early detection of sepsis. Reliability Engineering and System Safety, 177, 1–11. https://doi.org/10.1016/j.ress.2018.04.023.

Bogh, S. B., Blom, A., Raben, D. C., Braithwaite, J., Thude, B., Hollnagel, E. & von Plessen, C. (2018). Hospital accreditation: staff experiences and perceptions. International Journal of Health Care Quality Assurance, 31(5), 420-427. https://doi.org/10.1108/IJHCQA-06-2017-0115

Jonassen, J. R. & Hollnagel, E. (2019). License to intervene: the role of team adaptation in balancing structure and flexibility in offshore operations. WMU Journal of Maritime Affairs, 18(1), 103-128. https://doi.org/10.1007/s13437-019-00166-y

Sujan, M. A., Furniss, D., Anderson, J., Braithwaite, J. & Hollnagel, E. (2019). Resilient Health Care as the basis for teaching patient safety – A Safety-II critique of the World Health Organisation patient safety curriculum. Safety Science, 118, 15-21.

Thude, B. R., Juhl, A. G., Stenager, E., von Plessen, C. and Hollnagel, E. (2019). Staff acting resiliently at two hospital wards. Leadership in Health Services, 32(3), 445-457.

Hollnagel, E., Sujan, M. & Braithwaite, J. (2019). Resilient Health Care – Making steady progress. Safety Science, 120 (December 2019), 781-782.

França, J. E. M., Hollnagel, E., Luquetti dos Santos, I. J. L. & Haddad, A. N. (2019). FRAM AHP approach to analyse offshore oil well drilling and construction focused on human factors. Cognition, Technology & Work, 1-13. (https://doi.org/10.1007/s10111-019-00594-z).

Hollnagel, E. (2019). Invisible trade-offs and visible consequences. Hindsight, 29, 12-15.

Hollnagel, E. & Macleod, F. (2019). The imperfections of accident analysis. Loss Prevention Bulletin, 270, 2-6.


Books and book chapters

Hollnagel, E. (2010). The diminishing relevance of human-computer interaction. In: Boy, G. (Ed.), Handbook of Human-Machine Interaction. Farnham, UK: Ashgate.

Hollnagel, E.(2010). Simulator studies - the next-best thing? In: Skjerve, A. B. & Bye, A. (Eds.), Simulator-based human factors studies across 25 years. London: Springer Verlag.

Hollnagel, E., Woods, D. D. & Leveson, N. G. (2010). Ingeniería de la Resiliencia. Conceptos y preceptos. (Spanish translation of ‘Resilience engineering: Concepts and precepts.’) Madrid: Colección Riesgos Humanos.

Hollnagel, E., Pariès, J., Woods, D. D. & Wreathall, J. (Eds) (2011). Resilience Engineering in Practice. A Guidebook (Resilience Engineering Perspectives Volume 3). Farnham, UK: Ashgate.

Hollnagel, E. (2011). Prologue: The scope of resilience engineering. In: E. Hollnagel, J. Pariès, D. D. Woods & J. Wreathall (Eds) (2011). Resilience Engineering in Practice. A Guidebook (Resilience Engineering Perspectives Volume 3). Farnham, UK: Ashgate.

Sundström, G. & Hollnagel, E. (2011). The importance of functional interdependencies in financial service systems. In: E. Hollnagel, J. Pariès, D. D. Woods & J. Wreathall (Eds) (2011). Resilience Engineering in Practice. A Guidebook (Resilience Engineering Perspectives Volume 3). Farnham, UK: Ashgate.

Hollnagel, E. (2011). To learn or not to learn, that is the question. In: E. Hollnagel, J. Pariès, D. D. Woods & J. Wreathall (Eds) (2011). Resilience Engineering in Practice. A Guidebook (Resilience Engineering Perspectives Volume 3). Farnham, UK: Ashgate.

Hollnagel, E. (2011). Epilogue: RAG – The resilience analysis grid. In: E. Hollnagel, J. Pariès, D. D. Woods & J. Wreathall (Eds) (2011). Resilience Engineering in Practice. A Guidebook (Resilience Engineering Perspectives Volume 3). Farnham, UK: Ashgate.

Sundström, G. & Hollnagel, E. (Eds.) (2011). Governance and control of financial systems: A resilience engineering approach. Farnham, UK: Ashgate.

Sundström, G. & Hollnagel, E. (2011). Understanding why: The need for new perspectives. In: G. Sundström & E. Hollnagel (Eds.), Governance and control of financial systems: A resilience engineering approach. Farnham, UK: Ashgate.

Sundström, G. & Hollnagel, E. (2011). What is the financial services system? In: G. Sundström & E. Hollnagel (Eds.), Governance and control of financial systems: A resilience engineering approach. Farnham, UK: Ashgate.

Hollnagel, E. & Sundström, G. (2011). Understanding what: Making sense of unpredictable events and developments. In: G. Sundström & E. Hollnagel (Eds.), Governance and control of financial systems: A resilience engineering approach. Farnham, UK: Ashgate.

Hollnagel, E. & Sundström, G. (2011). Understanding how: Turning financial services systems into resilient systems. In: G. Sundström & E. Hollnagel (Eds.), Governance and control of financial systems: A resilience engineering approach. Farnham, UK: Ashgate.

Hollnagel, E. (2011). When Things Go Wrong: Failures as the Flip Side of Successes. In Hofman, D. A. & Frese, M. (Eds.), Error in Organizations. Taylor & Francis.

Sundström, G. & Hollnagel, E. (2011). The ability to regulate, govern and control fiancial services systems. In: G. Sundström & E. Hollnagel (Eds.), Governance and control of financial systems: A resilience engineering approach. Farnham, UK: Ashgate.

Hollnagel, E. (2012). IO, Coagency, Intractability, and Resilience. In T. Rosendahl & V. Hepsø (Eds.), Integrated Operations in the Oil and Gas Industry: Sustainability and Capability Development. Hershey, PA: IGI Global.

Hollnagel, E. (2012). The ETTO principle as ETTOing – or Occam’s Razor redux. In: De Waard, D., Brookhuis, K., Dehais, F., Weikert, C., Röttger, S., Manzey, D., Biede, S., Reuzeau, F., and Terrier, P. (Eds.), Human Factors of Systems and Technology. Available as open source download.

Klein, G., Ross, K. G., Moon, B. M., Klein, D. E., Hoffman, R. R. & Hollnagel, E. (2012). Macrocognition. In R. R. Hoffman (Ed.), Collected essays on human-centered computing, 2001-2011. Los Alamitos, CA: IEEE Computer Society. (177-180).

Hollnagel, E. (2012). FRAM – The Functional Resonance Analysis Method: Modelling Complex Socio-technical Systems. Farnham, UK: Ashgate.

Hollnagel, E. (2012). The Third Age of Human Factors: From Independence to Interdependence. In J. R. Wilson, A. Mills, T. Clarke, J. Rajan, & N. Dadashi (Eds.). Rail Human Factors Around the World: Impacts on and of People for Successful Rail Operations. CRC Press.

Lundberg, J., Rollenhagen, C., Hollnagel, E. & Rankin, A. (2012). Olycksutredning och sedan? Karlstad, Sweden: MSB - Myndigheten för samhällsskydd och beredskap (MSB 376-12).

Apneseth, K., Wald, A. M. & Hollnagel, E. (2013). Measuring resilience in integrated planning. In E. Albrechtsen & D. Besnard (Eds.) Oil and Gas, Technology and Humans. Farnham, UK: Ashgate.

Hollnagel, E. (2013). A resilience engineering approach to assess major accident risks. In E. Albrechtsen & D. Besnard (Eds.) Oil and Gas, Technology and Humans. Farnham, UK: Ashgate.

Hollnagel, E. (2013). Att känna sig säker eller att vara säker: övergången från säkerhet-I till säkerhet-II (To feel safe or to be safe: The transition from Safety-I to Safety-II). In S. Ödegård (Ed.) Patientsäkerhet: Teori och praktik. Stockholm: Liber.

Hollnagel, E., Braithwaite, J. & Wears, R. L. (Eds.) (2013). Resilient health care. Farnham, UK: Ashgate.

Hollnagel, E., Braithwaite, J. & Wears, R. L. (2013). Preface: On the need for resilience in health care. In E. Hollnagel, J. Braithwaite & R. L. Wears (Eds.). Resilient health care. Farnham, UK: Ashgate.

Hollnagel, E. (2013). Making health care resilient: From safety-I to safety-II. In E. Hollnagel, J. Braithwaite & R. L. Wears (Eds.). Resilient health care. Farnham, UK: Ashgate.

Hollnagel, E., Braithwaite, J. & Wears, R. L. (2013). Epilogue: How to make health care resilient. In E. Hollnagel, J. Braithwaite & R. L. Wears (Eds.). Resilient health care. Farnham, UK: Ashgate.

Källhammer, J.-E., Smith, K. & Hollnagel, E. (2014). An empirical method for quantifying drivers’ level of acceptance of alerts issued by automotive active safety systems. In W. A. Regan, T. Horberry & A. Stevens (Eds.) Driver acceptance of new technology. Farnham, UK: Ashgate.

Hollnagel, E. (2014). Safety-I and Safety-II: The past and future of safety management. Farnham, UK: Ashgate.

Hollnagel, E., Pariès, J., Woods, D. D. & Wreathall, J. (Eds) (2014). 実践レジリエンス エンジニアリング(Japanese translation of Resilience Engineering in Practice. A Guidebook (Resilience Engineering Perspectives Volume 3). Tokyo, Juse-P.

Leonhardt, J., Peters, C. & Hollnagel, E. (2014). Der notwendigen Paradigmenwechsel im verständnis von Sicherheit in komplexen Arbeitswelten. In U. Bargstedt, G. Horn & A. van Vegten (Eds). Resilienz in Organisationen stärken – Vorbeugung and Bewältigung von kritischen Situationen. Verlag für Polizeiwissenschaft.

Nemeth, C. P. & Hollnagel, E. (Eds.) (2014). Resilience engineering in practice, Vol 2. Becoming resilient. Farnham, UK: Ashgate.

Hollnagel, E. (2014). Becoming resilient. In: C. P Nemeth & E. Hollnagel (Eds.) Resilience engineering in practice, Vol 2. Becoming resilient. Farnham, UK: Ashgate.

Hollnagel, E. (2015). Disaster management, control, and resilience. In: A. J. Masys (Ed.), Disaster Management: Enabling Resilience (Lecture Notes in Social Networks). Berlin: Springer Verlag.

Wears, R. L., Hollnagel, E. & Braithwaite, J. (2015) (Eds). Resilient health care, Volume 2: The resilience of everyday clinical work. Farnham, UK: Ashgate.

Hollnagel, E. (2015). Looking for patterns in everyday clinical work. In R. L. Wears, E., Hollnagel & J. Braithwaite (Eds). Resilient health care, Volume 2: The resilience of everyday clinical work. Farnham, UK: Ashgate.

Hollnagel, E. (2015). Why is work-as-imagined different from work-as-done? In R. L. Wears, E., Hollnagel & J. Braithwaite (Eds). Resilient health care, Volume 2: The resilience of everyday clinical work. Farnham, UK: Ashgate.

Hollnagel, E. (2015). 안전 패러다임의 전환 : 安全管理의 과거와 미래. Seoul: Hanjin Publishing (Korean translation of: Safety-I and Safety-II. The past and future of safety management.)

Hollnagel, E. (2015). 功能共振分析方法—复杂社会技术系统建模. Beijing, China: National Defense Industry Press.

Martin, D. & Hollnagel, E. (2015). Conversations on a New Approach to Understanding Safety. In Sears, K., Stockley, D. & Broderick, B. (Eds), Influencing the quality, risk, and safety movement in healthcare. Farnham, UK: Ashgate.

Hollnagel, E. (2015). Safety-I & Safety-II ―安全マネジメントの過去と未来. Tokyo: Kaibundo. (Japanese translation of: Safety-I and Safety-II. The past and future of safety management.)

Hollnagel, E. (2015). 安全-I与安全-II-安全管理的过去和未来. 中国工人出版社 (Chinese translation of Safety-I and Safety-II).

Hollnagel, E., Braithwaite, J. & Wears, R. L. (Eds.) (2016). 複雑適応システムを制御する. Tokyo: e-hon. (Japanese translation of Resilient Health Care).

Pickup, L., Atkinson, S., Rawlinson, S., Bowie, P., Gray, S., Watson, D., Sydney, D., Sinclair, L., Innes, C., Izatt, C., Oldham, J., Forrester, K. & Hollnagel, E. (2016). Blood sampling in acute hospital care settings: A Human Factors Review. Ergonomics & Human Factors 2016, 19-21 April. (In: P. Waterson, R. Sims & E.-M. Hubbard (Eds). Contemporary Ergonomics and Human factors 2016, (p. 127 -133).

Hollnagel, E. (2016). 안전패러다임의 전환 II (안전시스템의 과거와 미래). Seoul: Sejin Publishing. (Korean translation of FRAM: The Functional Resonance Analysis Method.)

Hollnagel, E. (2016). Resilience engineering: A new understanding of safety. J Ergon Soc Korea, 35(3), 185-191. (http://dx.doi.org/10.5143/JESK.2016.35.3.185)

Braithwaite, J., , Wears, R. L. & Hollnagel, E. (Eds.) (2016). Resilient Health Care, Volume 3: Reconciling Work-as-Imagined and Work-as-Done. Boca Raton, FL: CRC Press.

Chuang, S. & Hollnagel, E. (2016). Challenges in Implementing Resilient Health Care. In: J. Braithwaite, R. L. Wears & E. Hollnagel (Eds.) Resilient Health Care, Volume 3: Reconciling Work-as-Imagined and Work-as-Done. Boca Raton, FL: CRC Press.

Braithwaite, J. Wears, R. L. & Hollnagel, E. (2016). Conclusion: Pathways Towards Reconciling WAI and WAD. In: J. Braithwaite, R. L. Wears & E. Hollnagel (Eds.) Resilient Health Care, Volume 3: Reconciling Work-as-Imagined and Work-as-Done. Boca Raton, FL: CRC Press.

Hollnagel, E. (2017). The nitty-gritty of human factors. In: S. Shorrock & C. Williams (Eds.). Human Factors and Ergonomics in Practice: Improving System Performance and Human Well-Being in the Real World. Boca Raton, FL: CRC Press.

Hollnagel, E. (2017). Safety-II in practice: Developing the resilience potentials. Abingdon, UK: Routledge.

Hollnagel, E. (2017). 안전패러다임의 전환 III (안전시스템의 과거와 미래). Seoul: Sejin Publishing. (Korean translation of Resilience Engineering in Practice..)

Hollnagel, E. (2017). Å bli resilient: organisasjoner, sikkerhet og resiliens. In Hafting, T. (Ed.) Krisehåndtering. Planleggin og handling. Bergne, Norway: Fagbokforlaget.

Nemeth, C. P. & Hollnagel, E. (Eds), (2017). レジリエンスエンジニアリング応用への指針. (Japanese translation of Resilience Engineering in Practice, Volume 2. Tokyo, Japan: e-hon.)

Hollnagel, E. (2017). Resilience engineering and the future of safety management. In: N. Möller, S. O. Hansson, J.-E. Holmberg & C. Rollenhagen (Eds.), Handbook Of Safety Principles. Hoboken, NJ: John Wiley & Sons.

Hollnagel, E. (2018). To feel secure or to be secure. In: A. J. Masys (ed). Security by design. Innovative Perspectives on Complex Problems. Springer International Publishing AG.

Hollnagel, E., Braithwaite, J. & Wears, R. L. (Eds). (2018). Resilient health care, Vol. 4: Delivering resilient health care. Abingdon, UK: Routledge.

Hollnagel, E. (2018). 융합의 길-SYNESIS. (Korean translation of Safety-II in Practice). Seoul, Rep. of Korea: Sejin Publishing.

Hollnagel, E. (2019). Safety-IIの実践 ―レジリエンスポテンシャルを強化する. (Japanese translation of Safety-II in Practice.) Tokyo, Kaibundo.

Braithwaite, J., Hollnagel, E. & Hunte, G. S. (2019). Resilient health care, Vol. 5: Working across boundaries. Boca Raton, FL: Taylor & Francis – CRC Press.

Hollnagel, E. (2019). The gilded age? In J.-C. Le Coze (Ed.), Safety science research: Evolution, challenges, and new directions. Boca Raton, FL: CRC Press / Taylor & Francis.

Hollnagel, E. (2019). FRAM. Metodo de Analisi della Risonanza Funzionale per costruire modelli di sistemi socio-tecnici e spiegare l'accadimento di eventi. (Italian translation of FRAM). Hirelia Edizioni.


Conference presentations 

Herrera, I. A., Hollnagel, E. & Håbrekke, S. (2010). Proposing safety performance indicators for helicopter offshore on the Norwegian Continental Shelf. Probabilistic Safety Assessment Methods (PSAM-10), 7-11 June 2010, Seattle, USA.

Herrera, I. A., Hollnagel, E., Macchi, L. & Woltjer, R. (2010). Exploring Resilience Engineering Contribution to Risk Analysis in Air Traffic Management. In EUROCONTROL Safety Seminar.

Hollnagel, E. (2010). Exploring resilience: What is it? Why is it important for healthcare? How resilience can point to critically needed solutions in healthcare. Beyond High Reliability: Improving Patient Safety Through Organizational Resilience. June 3-4, Vancouver, Canada. (Invited keynote presentation.)

Hollnagel, E. (2010). How resilient is your organisation? Conference on Sustainable Transformation: Building a Resilient Organisation. May 31 – June 1, Toronto, Canada. (Invited keynote presentation.)

Hollnagel, E. (2010). Hvordan kan man sikre sig at noget går godt, hvis man kun kigger efter det der går galt? Forskningsseminar, Forskningsnetværket for Patientsikkerhed og Kvalitet i Sundhedsvæsenet. 4. maj, Hotel Nyborg Strand, Danmark. (Invited keynote presentation.)

Hollnagel, E. (2010). Modelling what goes right versus modelling what goes wrong. Human Modelling in Assisted Transportation Workshop. 30 June – 2 July, Belgirate, Italy. (Invited keynote presentation.)

Hollnagel, E. (2010). On how (not) to learn from accidents. Konferanse om “Hvem lærer av ulykker og hvordan foregår læring?”; 15-16 February, Stavanger, Norge. (Invited keynote presentation.)

Hollnagel, E. (2010). Resilience engineering and disaster prevention. The Brazilian and Latin American Ergonomics Congress, 2-6 August, Rio de Janeiro, Brasil. (Invited keynote presentation.)

Hollnagel, E. (2010). The changing nature of risk. Risikovurdering i lufttrafikstyring og risikoens ændrede natur, 4. februar, København, Danmark. (Invited keynote presentation.)

Hollnagel, E. (2010). The deconstruction of patient safety and the way ahead. First Nordic Patient Safety conference: Patient Safety Challenges. 20-21 May, Stockholm, Sweden. (Invited keynote presentation.)

Hollnagel, E. (2010). The ETTO Principle - Efficiency-Thoroughness Trade-Off Or Why Things That Go Right, Sometimes Go Wrong. 8th International Conference on Occupational Risk Prevention (ORP2010). May 5-7, Valencia, Spain. (Invited keynote presentation.)

Hollnagel, E., Martinie, C., Palanque, P., Pasquini, A., Ragosta, M. (2011). System Performance under Automation Degradation (WP-E project SPAD). First SESAR Innovation Days, Nov 2011, Toulouse, France. (https://hal-mines-paristech.archives-ouvertes.fr/hal-00660440.)

Hollnagel, E. (2012). Resilience engineering and the systemic view of safety at work: Why work-as-done is not the same as work-as-imagined. Bericht zum 58. Kongress der Gesellschaft für Arbeitswissenschaft vom 22 bis 24 Februar 2012. GfA-Press, Dortmund. p. 19-24.

Rigaud, E., Hollnagel, E., Martinie, C., Palanque, P., Pasquini, A. (2012). A framework for modeling the consequences of the propagation of automation degradation: application to air tra#c control systems. In: D. Schaefer (Ed). The Second SESAR Innovation Days, Nov 2012, Braunschweig, Germany. EUROCONTROL, 8 p. - ISBN 978-2-87497-068-9. (https://hal-mines-paristech.archives-ouvertes.fr/hal-00776470.)

Rigaud, E., Hollnagel, E., Martinie, C., Pasquini, P., Ragosta, M., Silvagni, S., Sujan, M. A. (2013). Modeling trade-offs consequences propagation and their impacts. In Resilience Engineering Association: 5th International Symposium.

Pasquini, A., Ragosta, M., Silvagni, S., Sujan, M. A., Rigaud, E., Hollnagel, E. (2013). Modelling of Automation Degradation: A Case Study. Third SESAR Innovation Days, 26th – 28th November 2013.

Ros, A., Alm, H., Axelsson, B., Shamoun, S., Cook, R. I. & Hollnagel, E. (2014). A FRAM (Functional Resonance Analysis Method) analysis of labour-and-delivery: Locating risk in a complex system. Poster at International Forum on Quality and Safety in Health Care, 8-11 April 2014, Paris, France.

Hollnagel, E. (2015). The Resilience Engineering Approach to Societal Readiness. Resilience Workshop: Technologies and their social implementation to actualize the disaster prevention/mitigation. Tohoku University, International Research Institute of Disaster Science (IRIDeS), March 15, 2015. (Invited keynote).

Hollnagel, E. (2015). Systemic accidents – a resilience engineering perspective. Keynote presentation at IV Jornada Latino-Americana de Fatores Humanos e Segurança Operacional, Brasilia, April 16-17, 2015.

Hollnagel, E. (2015). Resilience in health care. Resilience in Healthcare Masterclass, Centre for Applied Resilience in Healthcare (CARe), Kings College London, May 7-8, 2015. (Invited keynote).

Hollnagel, E. (2015). Nurturing Resilient Health Care. The 13th Annual Meeting of Japan Society of Risk Management for Clinical Medicine, Fukushima, Japan, May 15-15, 2015. (Invited keynote.)

Hollnagel, E. (2015). Resilience Engineering, Standardisation, and Variability. Dansk forening for kvalitet konference “Hvorfor går det godt, når det går godt?”, Hotel Storebælt, Nyborg, 28 May, 2015. (Invited keynote.)

Hollnagel, E. (2015). Resilient health care: The way forward. International Forum on Quality and Safety in Healthcare, ExCel London, 21-24 April. (Invited keynote.)

Hollnagel, E. (2015). From Protective Safety (Safety-I) to Productive Safety (Safety-II). Royal Air Force Air Command Duty Holder Safety Symposium, High Wycombe, Buckinghamshire, May 26. (Invited keynote.)

Hollnagel, E. (2015). The price of work? Is occupational injury an inevitable toll on the work we do? VIOSH International Research Symposium, Ballarat, VIC, Australia, 10 July. (Invited keynote.)

Hollnagel, E. (2015). Challenging perspectives on risk management. Safety Institute of Australia, Sydney Safety Symposium 2015, 24 July, Sydney, Australia. (Invited keynote.)

Hollnagel, E. (2015). Bon voyage: Safe sailing from a Safety-II perspective. IMISS2015 - International Maritime Incident and Near Miss Reporting Conference 2015, 25 August, Kotka, Finland. (Invited keynote.)

Hollnagel, E. (2015). In the beginning … ? Resilient Health Care: Moving from Safety-I to Safety-II. 10 August, Manly, Australia. (Invited keynote.)

Hollnagel, E. (2015). The pursuit of resilience: Too much analysis and too little synthesis? 6th Symposium on Resilience Engineering, 22-25 June, Lisbon, Portugal. (Invited keynote.)

Hollnagel, E. (2015). Safety Management from a Resilience Engineering Perspective: Bringing Safety-II into Daily Operations. 13th IAEA – FORATOM Management System Workshop, 23-25 June, Barnwood, Gloucester, UK. (Invited keynote.)

Hollnagel, E. (2015). Coping with complexity: Why being safe must go beyond avoiding accidents and incidents. Second African Symposium on Human Factors & Aviation Safety: From Talking To Doing Safety, 07-11 September. Cape Town, South Africa. (Invited keynote.)

Hollnagel, E. (2015). Perceiving what cannot be seen: The practical side of Safety‐II. Eurocontrol Human Factors and System Safety Seminar, 5-7 October. Barcelona, Spain. (Invited keynote.)

Hollnagel, E. (2016). Is counting accidents a measure of safety? Microsystem Festival 2016, Scientific Day, March 4, 2016. Qulturum, Jönköping (Sweden). (Invited presentation.)

Hollnagel, E. (2016). Micro? Meso? Macro? The scale invariance of resilience. Microsystem Festival 2016, March 1-3, 2016. Qulturum, Jönköping (Sweden). (Invited seminar.)

Hollnagel, E. (2016). Resilient healthcare. Annual CCSO Quality Conference: Transforming Patient Safety in Critical Care through a High Reliability Mindset, March 23, 2016, Toronto, Canada. (Invited keynote.)

Hollnagel, E. (2016). Safety-I, Safety-II – and automation? ANACNA Annual Conference, April 5, 2016, Milan, Italy. (Invited keynote.)

Hollnagel, E. (2016). From thinking about protection (Safety-I) to thinking about production (Safety-II). BrancheArbejdsmiljøRådet Social & Sundhed 12-12 Seminar, April 6-7, 2016, Ängavallen, Sweden. (Invited presentation.)

Hollnagel, E. (2016). Safety-I and Safety-II: The Past and Future of Safety Management. Center for Stabiliseringsindsatser (Samtænkningssektionen), Kompetenceudviklingsdage April 6-7, 2016, Copenhagen, Denmark. (Invited keynote.)

Hollnagel, E. (2016). Is it a science to improve? A sceptical view. 6th Annual International Improvement Science and Research Symposium, April 12, 2016. (Invited keynote.)

Hollnagel, E. (2016). The epistemology of safety: “without” or “with”. Exeter Patient Safety Conference, April 21-22 2016, University of Exeter, UK. (Invited keynote.)

Hollnagel, E. (2016). Resilient Health Care: The Role of Technology in Safety-I and Safety-II. SAMTIT (Svenska Användarförening för Medicinsk Teknik och IT) Kongress 27-29 April, 2016, Upplands Väsby, Sverige. (Invited keynote.)

Hollnagel, E. (2016). Resilient health care: The way forward. 7th Biennial Conference of the Australian Association for the Manual Handling of People (AAMHP), 23-25 May 2016, Perth, Australia. (Invited keynote.)

Hollnagel, E. (2016). Being safe in an unsafe world: the Practical Side of Safety‐II. Autorité de sûreté nucléaire, Organizational and Human Factors Committee, May 11, 2016, Paris, France. (Invited lecture.)

Hollnagel, E. (2016). Developing the Resilience Potentials. A Guide to the Management of Safety-II. 7th Biennial Conference of the Australian Association for the Manual Handling of People (AAMHP), 23-25 May 2016, Perth, Australia. (Invited keynote.)

Hollnagel, E. (2019). Healthcare: Safety and resilience. Serious Hazards of Transfusion (SHOT) Symposium, July 7 2016, Manchester, UK. (Invited keynote.)

Hollnagel, E. (2016). Being safe in an unsafe world: The practical side of Safety-II. The 13th IFAC/IFIP/IFORS/IEA Symposium on Analysis, Design, and Evaluation of Human-Machine Systems, August 30 – September 2, Kyoto, Japan. (Invited keynote presentation.)

Hollnagel, E. (2016). Patient Safety – The Denmark Perspective From Patient Safety-I to Patient Safety-II. 3. Hamburger Symposium Patientensicherheit, Hamburg, German, September 16-17. (Invited keynote presentation.)

Hollnagel, E. (2016). Patient Safety: Preventable Harm or Achievable Good? HEPS 2016 - 5th Conference on Healthcare systems Ergonomics and Patient Safety, Toulouse, France, October 5-7. (Invited keynote presentation.)

Hollnagel, E. (2016). Säkerhet-II: Att främja det som går bra. Utvecklingsdagar Skaraborgs Sjukhus, November 16, Skövde, Sverige. (Invited keynote presentation.)

Hollnagel, E. (2017). Van Safety I naar Safety II. MediRisk 25 Jaar Jubileum Congress, January 26, Utrecht, The Netherlands. (Invited keynote.)

Hollnagel, E. (2017). What should we look at and what should we learn from? A Resilience Engineering / Safety-II perspective. IPA-SEC Seminar: Realizing the Safety Society by Resilience Engineering. January 12, Tokyo, Japan. (Invited keynote.)

Hollnagel, E. (2017). Work-as-Imagined and Work-as-Done: the Practical Side of Safety‐II. The American Society of Safety Engineers, A Shifting Paradigm: Systems Thinking About Human Error - An ASSE Virtual Symposium. January 23. (Invited keynote presentation.)

(List is incomplete)

Miscellanea (Reports, etc.) 

Hollnagel, E., Rigaud, E. & Besnard, D. (Eds.) (2011). Proceedings of the fourth Resilience Engineering Symposium. MINES ParisTech: Presses des Mines.

Hollnagel, E. (2013). An Application of the Functional Resonance Analysis Method (FRAM) to Risk Assessment of Organisational Change . Stockholm: SSM (2013:09)

Martinie, C., Palanque1, P., Pasquini, A., Ragosta, M., Silvagni, S., Sujan, M., Rigaud, E. & Hollnagel, E. (2013). Modelling of Automation Degradation: A Case Study. SID 2013.

Hollnagel, E. & Leonhardt, J. (2013). From Safety-I to Safety-II: A White Paper. Bruxelles, BE: Eurocontrol.